Active NPI
Max Ann Ferguson, MD
- Urology Physician
- Harrison, AR
National Provider Identifier
1356432702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C8467
- Practice address
- 715 W Sherman Ave
Suite a
Harrison, AR 72601 - Phone
- (870) 741-2317
- Fax
- (870) 741-4090
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C8467 | AR | Primary |
Addresses
Primary practice location
715 W Sherman Ave
Suite a
Harrison, AR 72601
Mailing address
PO Box 1140
715 W Sherman Ave Suite a
Harrison, AR 72602
Phone (870) 741-2317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8467 | AR | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1356432702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1140",
"address_2": "715 W SHERMAN AVE SUITE A",
"city": "HARRISON",
"state": "AR",
"postal_code": "72602",
"telephone_number": "870-741-2317",
"fax_number": "870-741-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W SHERMAN AVE",
"address_2": "SUITE A",
"city": "HARRISON",
"state": "AR",
"postal_code": "72601",
"telephone_number": "870-741-2317",
"fax_number": "870-741-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "MAX",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AR",
"license": "C8467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.